Case Manager (CM) - Registered Nurse (RN) or LCSW - Per Diem Job ID 320081 Location US-CA-Los Angeles Experience (Years) 1 Category Clinical - Case Manager Street Address 2070 Century Park East Company California Rehabilitation Institute Position Type Per Diem Overview

California Rehabilitation Institute

*A partnership between Cedars-Sinai, UCLA Health and Select Medical*

Century City / Los Angeles, CA

 

Case Manager (CM) - Registered Nurse (RN) or Social Worker (LCSW) - Per Diem

Pay Rate $66.00

 

 

Benefits of becoming a Case Manager with us: 

Manageable case loadsImpact on patient's recovery process and quality of lifeHigh success rate of patients being discharged home Competitive rates Team-oriented cultureA network of over 50,000 employees nationwide with advancement and relocation opportunities Responsibilities

 

Position Summary

The Case Manager is responsible for the coordination of health care decisions by using a systematic approach to assure treatment plans that improve quality and outcomes, coordination of care across the continuum; promotion of cost-effective care within the allotted timeframe; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and appropriate discharge plans.  The Case Manager assesses the social work needs of the patient and provides social work intervention as part of the discharge planning process. 

 

Responsibilities

Clinical Interventions/Discharge and Care Planning Management: Responsible for functioning as the liaison among all parties involved with the patient both within the hospital and in the community as it relates to the development and implementation of a safe and appropriate discharge plan. The Case Manager participates as part of the interdisciplinary team developing, implementing, reviewing and revising the interdisciplinary plan of care.Fiscal Management: Assures responsiveness to payer systems by maintaining ongoing communication and serving as the primary contact for all external payer sources, in turn generating revenue, enhancing reimbursement, minimizing financial risk and assuring payment for the hospital. Maintains a thorough understanding of insurance coverage and benefits, providing interpretation to patients/families of their insurance and providing patient advocacy as needed.Payer/Referral Management: Identifies and fulfills the requirements and needs of payer and referral sources, overseeing negotiations of continued stay rationale, length of stays, and appeals process. Initiates activities to develop positive business relationships with payers and referral sources in order to promote repeat business and represent the hospital as a quality institution.Carries a patient caseload.Coordinates with other departments, i.e.: Pre-Admissions, Admissions, Patient Accounts, Utilization Review, PPS Coordinator, etc., to assure positive fiscal management outcomes for the patient.Is responsible for developing and maintaining effective interdisciplinary working relationships with other clinical treatment team members, i.e.: medical, psychology, nursing, therapy, therapeutic recreation, vocational and dietary, in order to assure clinical outcomes that are appropriate, cost-effective, and beneficial to the patient. Qualifications

 

Minimum Qualifications

Current and valid state licensure in Social Work required or Current state licensure as a Registered Nurse required.Masters Degree in Social Work preferred; OR BSN in nursing preferred.Previous experience in case management or related field required.CCM Certification Preferred.  Additional Data

California Rehabilitation Institute a 138-bed facility offers patients a higher degree of excellence in medical rehabilitation. Each patient has their own room and receives our customized treatment plans based on their individual medical and therapy needs as they recover from:

Brain InjurySpinal Cord InjuryStrokeAmputationNeurological DisordersOrthopedic ConditionsMultiple Traumas

Select Medical is an organization that is passionate about safety for our patients and our team members. The Inpatient Rehabilitation Division conducts post-offer employment testing (POET) for a number of job titles including, but not limited to:

Rehabilitation Assistant/Nursing AssistantNursePhysical, Occupational and Speech TherapyEnvironmental Services

POETS are completed as part of the onboarding process-to be completed before an employee’s first day of work.

 

 

**Select Medical is committed to having a workforce that reflects diversity at all levels and is an equal opportunity employer. Qualified applicants are considered for employment, and employees are treated during employment without regard to race, color, religion, national origin, citizenship, age, sex, sexual orientation, gender identity, marital status, ancestry, physical or mental disability, veteran status, or any other characteristic protected under applicable law.